Developing and Implementing Alternative Payment Models Presented by AllCare Health APM Team
AllCare Service Area and Membership County Members Jackson 28,449 Josephine 19,016 Curry/Douglas 2,871 Total 50,336
AllCare Program Participation Participants in the AllCare CCO Alternative Payment Model Group PCP's Specialists Members Josephine County 51 58 18,890 Jackson County 117 144 17,943 TOTAL 168 202 36,833 Total Providers: 370 Percent of Members: 73.2% Participation in the AllCare APM program is voluntary
What are Alternative Payment Models (APMs)? The APM concept stems from the CMS/Hedis/OHA quality incentive type initiatives Guiding Principle - The Triple Aim Improving the patient experience of care Improving the health of populations Reducing the per capita cost of health care Purpose: To create a unique model of care that incentivizes providers to move from volume-based care (traditional fee-for-service model) to value-based care (pay for quality of care)
Creating a Compensation Committee Who should you include on your committee? 3-5 of your network providers If the APM deals with agencies (DCOs, MH, A&D), include the decision makers from those agencies Staff from your organization that deal with quality measures/data Leadership from your organization (medical director, quality leaders, etc.) Determine the schedule Monthly meetings give you enough time to analyze data between meetings Pay outside participants a stipend for their participation
APM Meeting Cycle Meeting 1 Kick off: Background, vision, process and brainstorming Meeting 2 Data discussion: Present common measures, discuss potential measures Meeting 3 Data review: More detailed analysis of data Meeting 4 Criteria discussion: Discuss eligibility and attribution Meeting 5 Propose concept: Present and discuss conceptual outline of program Meeting 6 Finalize plan: Finalize and approve plan, set date to execute
Training and Education Develop training materials based on the final measures (Mastering the Metrics) Schedule training sessions Be willing to train at provider offices Integrate EHR workflows, when possible
Follow Up Follow up with medical groups/agencies to check for understanding and general info Present applicable data Review first Quality Reports with providers Create lists for providers of those patients not meeting measures
Top 10 Lessons Learned 1. Involve the right people thought leaders 2. Engage providers in the process 3. Set timeframes and manage to them 4. Keep it simple, especially in year one 5. Train early with a focus on coding and documentation 6. Modify the measures as necessary 7. Validate the data 8. Respond in a timely manner to provider questions about the data 9. Be as transparent as possible 10. Many providers want to achieve 100% of the measures
AllCare s Alternative Payment Model Will Brake Director, Provider Network Transformation Services CCO Representative OHA Scoring and Metrics Committee
AllCare Compensation Background 2013 - AllCare CCO was awarded a transformation grant to explore Alternative Payment Models for OHA 2013 - a compensation committee was formed to develop a Primary Care and Pediatric Incentive Compensation Plan January 2014 - the Primary Care Provider APM Plan commenced July 2014 - the Pediatric Plan commenced January 2015 - minor adjustments were made to the Primary Care and Pediatric Plans July 2015 - Specialty, Behavioral Health and Dental Plans were rolled out January 2016 - Facilities APM (hospitals, surgery centers and nursing homes) scheduled for roll out
Bonus Pool APM Shared Savings OHA AllCare Quality Bonus Calculated Discretionary
Primary Care / Pediatrics Compensation Plan Overview Base Compensation Capitation Josephine County Utilization & Access Quality Incentive Measures Base Compensation Fee for Service Jackson County Utilization & Access Quality Incentive Measures AllCare eligibility criteria: Providers must have an average of 50 members per month to participate in the APM
PCP - Risk Adjusted Capitation Age / Sex / Diagnosis Adjusted Diagnosis adjustment is an accumulation of diagnoses for the member Capitation Tiers Tier 1 Tier 2 Tier 3 Tier 4
PCP Access Measure Access Measure Panel Size 50 100 5% 101 199 10% 200+ 20% -- OR -- Net New Patients 1 25 5% 26 99 10% 100 + 20%
PCP - Quality Incentive Measures Colorectal Cancer Screening Effective Contraceptive Use Screening, Brief Intervention Referral for Treatment (SBIRT) Depression Screening w/ Follow-up A1c Poor Control Adolescent Well Care Visits AllCare Satisfaction & Access Survey (based on CAHPS) PCPCH Status PCP Visits per 1000 member months ED Visits Level 1 & 2 per 1000 member months Citizenship (Participation with AllCare) Preventive Visits per 1000 member months Lipid Profile for Diabetics Hypertension Control
Primary Care Provider Quality Compensation Report Reporting Period 2016 Performance Percentile Provider Name Member Months APM Median You Smith, John 2,089 85% 100% % % Access Measures Goal Actual Possible Earned Panel Size 50-100 5% Panel Size 101-199 10% Panel Size 200+ 250 20% 20% or Net New Patients 1-25 5% Net New Patients 26-99 10% Net New Patients 100+ 20% State Measures AllCare CCO Measures Points Quality Measures Goal Actual Achieved Y/N Possible Points Earned Colorectal Cancer Screen 35% 38% Y 5 5 Effective Contraceptive Use 38% 27% N 5 0 SBIRT (Full Screen) 6.3% 6.7% Y 5 5 Depression Screening w/ Follow-up 25% 29% Y 5 5 A1c Poor Control < 34% 22% Y 5 5 Adolescent Wellcare 26% 24% N 5 0 Hypertension Control 64% 67% Y 3 3 Access to Care Survey Results 85% 85% Y 3 3 Satisfaction with Care Survey Results 85% 88% Y 3 3 PCPCH Y/N Y Y 3 3 PCP Visits (per 1000) > 2337 2410 Y 3 3 ER Visits Level 1&2 (per 1000) < 203 189 Y 3 3 Citizenship (Participation w/ AllCare Health) 1-3 3 Y 3 3 Preventive (per 1000) > 1738 1682 N 2 0 Lipid Profile for Diabetics 80% 84% Y 1 1 BONUS POINTS Data Electronically Submitted Y/N Y Y 5 5 Total Points 47 Tier 1 (55%) 27-35 points 35 27 Tier 2 (65%) 36-46 points 46 36 Tier 3 (80%) 47+ points 47 Quality Reports are distributed quarterly after 60 days of claims run out. Performance Score Access Achieved Quality Achieved Overall Achieved 20% 80% 100%
PRIMARY CARE Alternative Payment Model Worksheets Adolescent Well Care Visits (12-21 years old) Measure Definition Measure Definition: The percentage of enrolled adolescents ages 12 to 21 that had at least one comprehensive well-care visit during the measurement year. Unit of Measurement: % Measure Formula: Numerator: Members in the denominator receiving at least one comprehensive well-care visit during the measurement year. Members can be seen by any provider type for this measure. Codes: CPT: 99383-99385, 99393-99395 ICD-9: V20.2, V70.0, V70.3, V70.5, V70.6, V70.8, V70.9 ICD-10: Z00.00, Z00.01, Z00.121, Z00.129, Z00.5, Z00.8, Z02.0, Z02.1, Z02.2, Z02.3, Z02.4, Z02.5, Z02.6, Z02.71, Z02.79, Z02.81, Z02.82, Z02.83, Z02.89, Z02.9 HCPCS: G0438, G0439 Denominator: Enrolled adolescents ages 12 to 21 as of December 31 of the measurement year Continuous Enrollment Requirements: No more than one gap in continuous enrollment of up to 45 days during the measurement year. Number of Days of Claims Run Out 60 Days Measure Intent & Purpose Youth who can easily access preventive health services are more likely to be healthy and able to reach milestones such as high school graduation and entry into the work force, higher education or military service. - OHA Data Source EZ Cap Claims Data Performance Targets 2015 State Improvement Target: 26.1%
Pediatrics Quality Incentive Measures Utilization Quality ED Level 1&2 Visits Adolescent Well Care Visits PCP Visits PCPCH Immunization Status Access Survey Preventive Care Satisfaction Survey Access Panel Size or Net New Patients Developmental Screening SBIRT Depression Screening w/ Follow-up Citizenship (participation with AllCare)
Pediatric Provider Quality Compensation Report Reporting Period 2016 Performance Percentile Provider Name Member Months APM Median You Smith, Joan 8,356 85% 100% Access Measures Goal Actual % Possible % Earned Panel Size 50-100 5% Panel Size 101-299 10% Panel Size 300+ 350 20% 20% or Net New Patients 1-25 5% Net New Patients 26-99 10% Net New Patients 100+ 20% State Measures AllCare CCO Measures Points Quality Measures Goal Actual Achieved Y/N Possible Points Earned Adolescent Wellcare 26% 28% Y 5 5 Developmental Screening 50% 54% Y 5 5 SBIRT (Full Screen) 6.3% 4.2% N 5 0 Depression Screening w/ Follow-up 25% 29% Y 5 5 Childhood Immunization Status 82% 77% N 5 0 Access to Care Survey Results 85% 86% Y 3 3 Satisfaction with Care Survey Results 85% 88% Y 3 3 PCPCH Y/N Y Y 3 3 ER Visits Level 1&2 (per 1000) < 195 179 Y 3 3 PCP Visits (per 1000) > 2054 2088 Y 3 3 Citizenship (Participation w/ AllCare Health) 1-3 3 Y 3 3 Preventive (per 1000) > 3197 3352 Y 2 2 BONUS POINTS Data Electronically Submitted Y/N Y Y 5 5 Total Points 40 Tier 1 (55%) 23-29 points 29 23 Tier 2 (65%) 30-38 points 38 30 Tier 3 (80%) 39+ points 39 Quality Reports are distributed quarterly after 60 days of claims run out. Performance Score Access Achieved Quality Achieved Overall Achieved 20% 80% 100%
Specialty Compensation Plan Overview Base Compensation - Fee for Service Utilization & Access Quality Incentive Measures AllCare eligibility criteria: Specialist provides services to at least 50 AllCare members in the calendar year in order to participate in the APM
Specialties Medical Specialties Included Allergy & Asthma Cardiovascular Disease Dermatology Endocrinology Hematology/Oncology Midwife Nephrology Neurology Pain Management Physiatry Rheumatology Surgical Specialties Included Cardio/Thoracic Surgery Gastroenterology General Surgery Gynecology Interventional Cardiology Neurosurgery OB/GYN Ophthalmology Orthopedic Surgery Otolaryngology Podiatry Pulmonary Disease Urology Vascular Surgery Specialties not Included: Acupuncturist Anesthesiology Audiology Chiropractor Diagnostic Radiology Emergency Medicine Hospitalists Infectious Disease Neonatal Nurse Anesthetist Occupational Medicine Optometry Pathology Psychiatry Plastic Surgery Radiology Oncology
Specialty Quality Incentive Measures All Specialties Utilization Measures - Increased use of lower cost settings (Outpatient vs. Hospital) - Increased Generic Rx Access Measures - Reduced wait time from PCP referral authorization to specialty appointment - Expanded access for patients (portal, on-call, phone follow up or 4 hrs outside of 8-5, M-F) (A) - Improved satisfaction re: patient access (surveys) Quality Measures - Improved patient satisfaction with provider (surveys) - Participation in Collaboratives (Specialty meetings with Primary Care Providers) - Use of EMR (A) - Citizenship (participation with AllCare) A = Attestation Measure
Specialty Quality Incentive Measures Surgical & Chronic Conditions Specialties - Reduced readmissions within 7 days of discharge (all cause) - Reduced ED visits within 7 days of discharge (all cause) Medical Specialties - Co-managed/coordinated care for complex, high cost patients - Participation in transitions of care plans across care settings for complex, high-cost patients Obstetrics - Increased percentage of expectant mothers receiving prenatal care in first trimester - Increased percentage of expectant mothers receiving treatment, through SBIRT screening tool
Specialist Quality Compensation Report - Medical Specialty Performance Period - 2015 Provider Name Work RVUs Specialist Median You Jones, Jesse 708 73% 100% Measure Goal Actual Achieved Y/N Possible Points Points Earned Citizenship 1-5 4 Y 5 4 Care Coordination for Complex Patients 10% 25% Y 3 3 Transition of Care Plan 10% 17% Y 3 3 Use of Lower Cost Settings 64% 62% N 3 0 Participation in Collaboratives Y/N Y Y 3 3 Wait Time from Auth to Appt (Days) 30 25 Y 2 2 Access to Care 80% 83% Y 2 2 Satisfaction with Care 80% 77% N 1 0 Generic RX 83% 87% Y 1 1 Use of EMR Y/N Y Y 1 1 Expanded Access Y/N Y Y 1 1 Total Points 20 Tier 1 (65%) 11-14 Points 11 Points 14 Tier 2 (80%) 15-19 Points 15 Points 19 Tier 3 (100%) 20+ Points 20 Points
SPECIALTY Alternative Payment Model Worksheets ED Visit within 7 Days of Discharge from Hospital Measure Definition Measure Definition: Percent of specialist's patients seen in an inpatient hospital setting who had an ED visit (for any cause) within 7 days of hospital discharge. Unit of Measurement: % Measure Formula: Numerator: # of specialist's patients who had an ED visit within 7 days of hospital discharge. Denominator: Number of specialist's patients discharged from the hospital. Professional claim dates are compared to ED claims data to correlate the specialist to the initial hospitalization for that member. Number of Days of Claims Run Out 60 Days Specialty Measure Component Utilization and Access Management Performance Targets Target: <5% or 20% decrease from specialist's baseline score
Behavioral Health Behavioral Health agencies include: Jackson County Mental Health Options for Southern Oregon (Mental Health) Curry County Behavioral Health Addictions Recovery Center On-Track (Addictions Recovery)
Behavioral Health - Quality Incentive Measures Behavioral Health (BH) Measures: Time from referral to first appointment with BH agency Percentage of patients receiving qualifying services within 30 days of initial assessment/evaluation date Percentage of patients receiving three or more qualifying services within 90 days of initial assessment/evaluation date Visits per 1000 Number of level 1 or 2 ED Visits per 1000 capitated members Citizenship (participation with AllCare) Primary Care Provider Satisfaction Survey BH agency contributes to integrated care in the community? (A) BH agency provides resources in the community for 'warm handoffs'? (A)
Behavioral Health - Quality Incentive Measures Alcohol & Drug Measures: The percentage of members who receive follow up services within 30 days after discharge from residential alcohol/drug rehab The percentage of members who receive alcohol or drug assessment and /or services after an SBIRT screen during the measurement period Mental Health Measures: The percentage of members age 6-years and older who receive follow-up services within 7 days after discharge for a mental health hospitalization The percentage of members age 6-years and older who receive 2 follow-up services within 30 days after discharge for a mental health hospitalization Does the Community Mental Health Program (CMHP) have an Assertive Community Treatment (ACT) program in place? If so, was the most recent Fidelity Score 115 or more? (A) Does the Community Mental Health Program (CMHP) provide a wraparound program? (A)
Behavioral Health Quality Compensation Report January - December 2015 BH AGENCY XYZ Behavioral Health Measures Points Measures Goal Actual Achieved Y/N Possible Points Earned Avg. Wait Time from PCP Referral to Appt. <30 28 Y 2 2 Appt w/in 30 days of assessment 58% 62% Y 3 3 3 Treatment Episodes w/in 90 days of assessment 56% 50% N 1 0 Visits/1000 1996 2012 Y 3 3 Level 1 & 2 ER Visits/1000 <214 218 N 2 0 Citizenship (Participation with AllCare Health) 1-5 4 Y 5 4 Provider Survey Results 85% 86% Y 1 1 Integrated Care in the Community Y/N Y Y 1 1 Resources for Warm Handoffs Y/N Y Y 1 1 Alcohol & Drug Measures Follow up w/in 30 Days of A/D Rehab 56% 48% N 3 0 A&D Services after SBIRT Screen 23% 26% Y 2 2 Mental Health Measures Follow up w/in 7 Days of MH Discharge 54% 58% Y 3 3 Follow up w/in 30 Days of MH Discharge 30% 37% Y 3 3 Assertive Community Treatment Y/N Y Y 2 2 Wraparound Program Y/N Y Y 2 2 27 Tier 1 (65%) 14-19 points 14 19 Tier 2 (80%) 20-26 points 20 26 Tier 3 (100%) 27+ points 27
Dental Dental Care Organizations include: Advantage Dental Willamette Dental Capitol Dental MODA (ODS) La Clinica (FQHC)
Dental Quality Incentive Measures Dental Measures: Increased percentage of dental sealants in children 6-14 Increased percentage of dental diagnostic and preventive services Dental exam for foster children within 60 days Satisfaction With Provider Survey results Satisfaction With Access Survey results Percentage of patients with diabetes who received dental care Citizenship (participation with AllCare)
Dental Quality Compensation Report Performance Period: January - December 2015 Performance Percentile Provider Name DCO Median You DCO XYZ 87% 100% Measure Goal Actual Achieved Y/N Points Possible Dental Sealants for children age 6-14 8% 11% Y 3 3 Increase % of Diagnostic & Preventive Svcs 26% 32% Y 2 2 Dental exam for DHS Children within 60 days 28% 36% Y 3 3 Provider Satisfaction Survey Results 85% 88% Y 1 1 Access Satisfaction Survey Results 85% 82% N 1 0 Dental visits for Diabetic Patients 20% 28% Y 2 2 Citizenship (Participation w/ AllCare Health) 1-5 3 N 5 3 Total Points 14 Tier 1 (65%) 8-10 Points 8 10 Tier 2 (80%) 11-13 Points 11 13 Tier 3 (100%) 14+ Points 14 Points Earned
The APM Pool PCP/Peds Specialty Behavioral Health Dental 50% 30% 13% 7% Based on total member months Based on Work RVUs Based on billed charges Based on percent of membership Attributed back to each PCPs individual member months Attributed back to each provider - Work RVUs Attributed back to each agency - % of billed charges Attributed back to each DCO individual member months Payout based on individual APM performance Payout based on individual APM performance Payout based on agency APM performance Payout based on agency APM performance
Facilities APM Quality Measures A committee is currently meeting to develop the Facility APM Facilities include: Hospitals, Skilled Nursing Facilities and Surgery Centers Facilities APM Proposed Measures: Reduced ED Visits within 7 Days of Discharge Reduced readmissions within 7 Days of Discharge Patient Satisfaction Survey results Reduced duplication of diagnostic and treatment procedures (90 days) Patients receive PCP Follow-up within 14 Days of Discharge
Outcomes
Outcomes
Outcomes
Summary What have we accomplished? Our providers are more engaged in value-based care Our providers are more engaged with AllCare CCO Our CCO staff have formed better partnerships with our network providers & agencies In the first year, 70% of the APM measures have improved
Summary Where are we going? We will continue to adjust the measures in collaboration with our providers and agencies We will continue to explore payment methodologies that incentivize providers to improve care, based on the social determinates of health We will further refine our processes and criteria for developing new measures We will continue to focus on the Triple Aim and Population Health within the communities we serve
Questions?
Changing healthcare to work for you. PROVIDER SATISFACTION SURVEY DENTAL 1. Who is your dentist? 2. How long did you wait to get an appointment? Less than 8 weeks 8-12 weeks Longer than 12 weeks Always Usually Sometimes Never N/A 3. In the last 12 months, were your routine dental appointments scheduled as soon as you wanted? 4. In the last 12 months, did you have a dental emergency? (severe pain, bleeding, swelling) Yes No If yes, did you get to see a dentist as soon as you wanted? 5. In the last 12 months, did you have to wait too long, after your scheduled appointment time, in the waiting room? 6. In the last 12 months, did the dentist or dental staff explain what they were going to do before treating you? 7. In the last 12 months, did your dentist explain things in a way that was easy to understand? 8. In the last 12 months, did your dentist respect your cultural needs? 9. Please rate how satisfied you are with the dental hygienist at your dental office. Satisfied Neither satisfied or unsatisfied Unsatisfied 10. Please rate how satisfied you are with your dentist. Satisfied Neither satisfied or unsatisfied Unsatisfied 029 AllCare Patient Survey-Dental_081915.indd 1 8/21/15 7:11 PM
Changing healthcare to work for you. PROVIDER SATISFACTION SURVEY PEDIATRIC 1. Who is your child s primary care provider? 2. How long has your child been going to this healthcare provider? Less than 6 months 6 months-1 year 1-3 years 3-5 years 5 years or more 3. In the last 12 months, how many times did your child visit this healthcare provider? None 1 time 2-4 times 5-9 times 10 times or more Always Usually Sometimes Never N/A 4. In the last 12 months, when you phoned this healthcare provider s office to get an appointment for care your child needed right away, how often did you get an appointment as soon as you needed? 5. In the last 12 months, when you made an appointment for your child for a check-up or routine care with your healthcare provider, how often did you get an appointment as soon as you needed? 6. In the last 12 months, when you phoned your child s healthcare provider s office after regular office hours, how often did you get an answer to your medical question as soon as you needed? 7. In the last 12 months, how often did your healthcare provider listen carefully to you or your child? 8. In the last 12 months, how often did your healthcare provider give you and your child easy to understand information about health questions or concerns? 9. In the last 12 months, how often did your healthcare provider spend enough time with you and your child? 10. In the last 12 months, when your healthcare provider ordered a blood test, x-ray, or other test for your child, how often did someone from this provider s office follow up to give you those results? 11. In the last 12 months, how often were clerks and receptionists at your child s healthcare provider s office helpful, courteous and respectful? 12. In the last 12 months, how often were medical assistants and nurses at your child s healthcare provider s office helpful, courteous and respectful? 13. In the last 12 months, did your child s healthcare provider talk to you about any of the following? Check all that apply: Scheduling future well care visits Diet Developmental or behavioral issues Medication use (if prescribed) Depression Immunizations (shots) if child is under age 3 14. In the last 12 months, how many times have you taken your child to the hospital emergency room? None 1 time 2-4 times 5-9 times 10 times or more 15. Please rate how satisfied you are with your child s healthcare provider. Satisfied Neither satisfied or unsatisfied Unsatisfied 038 AllCare Patient Survey-Pediatric_081915.indd 1 8/21/15 7:10 PM
Changing healthcare to work for you. PROVIDER SATISFACTION SURVEY PRIMARY CARE 1. Who is your primary care provider? 2. How long have you been going to your healthcare provider? Less than 6 months 6 months-1 year 1-3 years 3-5 years 5 years or more 3. In the last 12 months, how many times did you visit your healthcare provider? None 1 time 2-4 times 5-9 times 10 times or more Always Usually Sometimes Never N/A 4. In the last 12 months, when you phoned your healthcare provider s office to get an appointment for care you needed right away, how often did you get an appointment as soon as you needed? 5. In the last 12 months, when you made an appointment for a check-up or routine care with your healthcare provider, how often did you get an appointment as soon as you needed? 6. In the last 12 months, when you phoned your healthcare provider s office after regular office hours, how often did you get an answer to your medical question as soon as you needed? 7. In the last 12 months, how often did your healthcare provider listen carefully to you? 8. In the last 12 months, how often did your healthcare provider give you easy to understand information about health questions or concerns? 9. In the last 12 months, how often did your healthcare provider spend enough time with you? 10. In the last 12 months, when your healthcare provider ordered a blood test, x-ray, or other test for you, how often did someone from this provider s office follow up to give you those results? 11. In the last 12 months, how often were clerks and receptionists at your healthcare provider s office helpful, courteous and respectful? 12. In the last 12 months, how often were medical assistants and nurses at your healthcare provider s office helpful, courteous and respectful? 13. In the last 12 months, did your healthcare provider talk to you about any of the following? Check all that apply: Alcohol use Drug use Weight loss Cigarette smoking Depression Diet Annual checkup Controlling high blood pressure Breast cancer screening Colorectal cancer screening 14. In the last 12 months, how many times have you gone to the hospital emergency room? None 1 time 2-4 times 5-9 times 10 times or more 15. Please rate how satisfied you are with your healthcare provider. Satisfied Neither satisfied or unsatisfied Unsatisfied 039 AllCare Patient Survey-Primary Care_081915.indd 1 8/24/15 12:06 PM
Changing healthcare to work for you. PROVIDER SATISFACTION SURVEY MEDICAL SPECIALIST 1. Name of specialist: 2. In the last 12 months, how many times have you visited this specialist? None 1 time 2-4 times 5-9 times 10 or more times Yes No N/A 3. Do you feel that this specialist was able to schedule your appointment in a timely manner? 4. During your most recent visit, did this specialist seem to know the important information about your medical history? 5. During your most recent visit, did this specialist listen carefully to you? 6. During your most recent visit, did this specialist spend enough time with you? 7. If your specialist ordered a blood test, x-ray, or other test for you, did someone from this office follow up to give those results to you? 8. Did your specialist inform you of other treatment options for your condition? 9. During your most recent visit to this specialist s office, were the clerks and receptionists helpful, courteous and respectful? 10. During your most recent visit to this specialist s office, were the medical assistants and nurses helpful, courteous and respectful? 11. Please rate how satisfied you are with this specialist. Satisfied Neither satisfied or unsatisfied Unsatisfied 108 AllCare Patient Survey-Specialist_081915.indd 1 8/24/15 12:14 PM
Changing healthcare to work for you. PROVIDER SATISFACTION SURVEY SURGICAL SPECIALTIES 1. Name of surgeon/health provider: A health provider could be a doctor, nurse or anyone else you would see for health care. Yes No N/A 2. Before your surgery, did anyone in this office give you all the information you needed about your surgery? 3. Was this office able to schedule your appointment in a timely manner? 4. Before your surgery, did anyone in this surgeon s/health provider s office give you easy to understand instructions about getting ready for your surgery? 5. During your office visits before your surgery, did this surgeon/health provider spend enough time with you? 6. During your office visits before your surgery, did this surgeon/health provider give you the opportunity to ask questions? 7. Did anyone from this office explain what to expect during your recovery period? 8. Did anyone from this office warn you about signs or symptoms that would need immediate medical attention during your recovery period? 9. Did anyone in this office provide a care plan for your post-surgery recovery, including who to contact if you need help? 10. Did this surgeon/health provider make sure you were physically comfortable or had enough pain relief after you left the hospital or surgical facility where you had your surgery? 11. Please rate how satisfied you are with this surgeon/health provider. Satisfied Neither satisfied or unsatisfied Unsatisfied 109 AllCare Patient Survey-Surgical_081915.indd 1 8/24/15 12:25 PM
Changing healthcare to work for you. PROVIDER SATISFACTION SURVEY BEHAVIORAL HEALTH Title of the person completing this survey: For your AllCare Health patients: Options Jackson County Mental Health Curry Community Health OnTrack Addictions Recovery Center Private Provider 1. To which Behavioral Health agencies have you referred patients in the past six months? 2. At which agencies have your patients received services in a timely manner? 3. From which agencies have you received timely information regarding diagnosis and treatment of your patients? 4. From which agencies have you received adequate information regarding diagnosis and treatment of your patients? 5. Rate your satisfaction with each agency/provider: Satisfied Neutral Unsatisfied N/A 6. What method for referral did you use? (Mark all that apply.) Phone call to agency or therapist JHIE (Jefferson Health Information Exchange) Faxed referral to agency or therapist Referral to AllCare CCO Care Coordination Verbal recommendation to patient Other Additional Comments? Please fold and mail back to AllCare Health. THANK YOU! 155 AllCare Patient Survey-Behavioral_081915.indd 1 8/24/15 12:30 PM